I need a septoplasty due to a severely deviated septum and crooked nose from a fall. Can I get one safely? (photos)

This is the kind of situation that calls for a very careful diagnostic workup and planning of an operation to not only straighten the nose, but also to support the change over time.  My impression is that you would require rib cartilage as a donor site to get some strong cartilage grafts to reconstruct your septum and to help stabilize the repair.  You need a reconstruction by an expert.

Firstly it is imperative to refrain from any drug use going forward as collapse of the nose can be seen with chronic cocaine use.  And, any surgery performed requires abstention otherwise healing will be compromised. A full nose straightening nasal surgery is required including a septoplasty however sometimes the septum needs to be reconstructed and with any procedure there are no guarantees.  The risk is greatly outweighed by the potential benefit of The surgery.

 To straighten a crooked nose requires a rhinoplasty procedure which involves osteotomies and cartilage grafting techniques such as a spreader graft. in many cases after cocaine abuse, there is no cartilage left for grafting purposes in the nose, sore ear cartilage was then required. A septoplasty was performed only for breathing purposes to improve air flow once medical necessity has been documented at the time of examination and consultation. For many examples and more information, please see the video below describing the differences between a rhinoplasty and a septoplasty.